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Intraoperative catheter irrigation can be considered the gold standard when treating purulent flexor tenosynovitis.
Intraoperative catheter irrigation of the flexor tendon sheath and antibiotic treatment is identical in both groups, whereas only the patients in one group are subjected to intermittent postoperative catheter irrigation three times a day for 3 days.
The hypothesis of this prospective randomised trial is that intraoperative catheter irrigation alone is as effective as a combination of intraoperative and postoperative intermittent catheter irrigation in the treatment of purulent flexor tenosynovitis.
12 Most patients consider postoperative intermittent catheter irrigation in the ward an inconvenient and even painful procedure.
All in all, no procedure has been shown to be superior to another, but, nevertheless, the consensus currently favours intraoperative catheter irrigation to open drainage.
12 Delsignore et al 8 reported a shorter hospital stay in patients who had been treated with intraoperative catheter irrigation when compared with open irrigation and debridement.
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The bags were printed with the pharmacy's name and a list of items they might contain, such as urinary catheters, irrigation trays, liquid suppositories.
The hypothesis is that intraoperative closed-catheter irrigation alone is as effective as a combination of intraoperative and postoperative intermittent closed-catheter irrigation, in the treatment of purulent flexor tenosynovitis.
12 The closed-catheter irrigation is normally continued in the ward for 48 h, 12 and it can be continuous, 8 11 or intermittent.
Lille et al 13 conducted a retrospective study implying that intraoperative closed-catheter irrigation without postoperative irrigation might be as effective as a combination of intraoperative and postoperative irrigation.
Therefore, active cooling by catheter tip irrigation is used to ensure sufficient lesion size and depth.
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